Individual provider · Type 1 NPI

James Medellin Jr., CADC 1

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1356893622 Active

Practice location

4343 Williamsbourgh Dr
Sacramento, CA 95823-2006

Call (916) 395-3552 Map

Mailing address

7000 Franklin Blvd
Sacramento, CA 95823-1820

Other practice locations

  • 7000 Franklin Blvd, Sacramento, CA 95823-1820 · (916) 388-9418

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XR1237650916 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI21280119 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356893622

James Medellin Jr., CADC 1's National Provider Identifier is 1356893622, issued on Nov 2, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Mar 3, 2020.